Martin, Mary Ann
Martin, Mary Ann is an individual health care provider with primary practice located at 2458 S Walnut St , Bloomington IN 47401-7730. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Martin, Mary Ann can be contacted via phone (812) 337-8121.Contact Information
Primary practice address
2458 S Walnut St
Bloomington IN 47401-7730
Phone: (812) 337-8121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lactation Consultant, Non-RN | 174N00000X |
Profile Details
| NPI number | 1144622929 |
|---|---|
| LBN Legal business name | Martin, Mary Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2014 |
| Last updated | Sep 23rd, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144622929 | NPPES |
| Other | 11121956 | INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS |
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